MEDICARE: RANBIR KAUR SIDHU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1034535	TX

General Provider Information

NPI Number	:	1073180030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANBIR KAUR SIDHU

Provider Business Mailing Address
First Line	:	1820 PRESTON PARK BLVD STE 2500
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-3674
Country	:	US
Telephone Number	:	972-733-7242
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 COTTONWOOD LN STE 205
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-6111
Country	:	US
Telephone Number	:	214-727-8900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2021
Last Update Date	:	01/15/2026

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Directions to “ RANBIR KAUR SIDHU ” Practice Location

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